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Organization

LYNN H SOMMERVILLE MD PHD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LYNN HOLLEY SOMMERVILLE MD (PHYSICIAN OWNER)
(401) 331-8338
Entity
Organization

Contact information

Practice address
100 HIGHLAND AVE, #302, PROVIDENCE, RI 02906
(401) 331-8338
(401) 331-0573
Mailing address
100 HIGHLAND AVE, #302, PROVIDENCE, RI 02906
(401) 331-8338
(401) 331-0573

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD06858
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0400917
UNITED HEALTH CARE
RI
01
204125
BLUE CROSS BLUE SHIELD RI
RI
05
9020412
RI
Enumeration date
01/17/2007
Last updated
08/22/2020
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